| NPI | 1801056833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101251332) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01066433A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 11013608A) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-07-20 |